Which of the following is a characteristic of the manic stage of bipolar disorder?

Slow and sluggish movements

Feelings of extreme sadness and hopelessness

Increased energy and activity levels

Loss of appetite and weight loss

Answer and Explanation

The Correct Answer is C

A.   During depressive episodes, individuals often experience psychomotor retardation, which can manifest as slow and sluggish movements. In contrast, the manic stage is marked by heightened energy and activity levels.
B.   Feelings of extreme sadness and hopelessness are characteristic of the depressive stage of bipolar disorder. During manic episodes, individuals typically experience elevated mood, which might be euphoric, irritable, or excessively optimistic, rather than feelings of sadness or hopelessness.
C.   This is a hallmark of the manic stage of bipolar disorder. During a manic episode, individuals often have significantly increased energy levels, engage in numerous activities, and may exhibit restlessness.
This heightened activity can include impulsive or risky behaviors, excessive talking, and a reduced need for sleep.
D.   Loss of appetite and weight loss are more commonly seen during depressive episodes of bipolar disorder. During manic episodes, individuals might experience an increased appetite or engage in disinhibited eating behaviors, which contrasts with the decreased appetite often observed in depressive stages.

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Correct Answer is B

Explanation

A. Suicide rates do differ by gender and age but the statement about fathers and mothers does not align with typical statistics. Fathers and mothers are not usually the primary focus of such comparisons.
B. Statistics show that while women attempt suicide more frequently than men, men are more likely to complete suicide. This is often attributed to the methods used, as men typically choose more lethal means, resulting in higher completion rates.
C. Adolescent mothers and fathers are not typically the groups compared in this context. The frequency and success of suicide attempts are generally analyzed with a broader demographic perspective, not specifically focused on adolescent parents.
D. Adult men are more likely to complete suicide, but women generally attempt suicide more frequently than men. The completion rate for suicide is higher among men compared to women.

A. Place wrist restraints on the client to prevent psychomotor agitation. B. Explain to the client why her behavior is inappropriate. C. Move the client to a seclusion room D. Tell the client when he will return and leave the room.

Correct Answer is D

Explanation

A. This is an inappropriate and potentially harmful response. Restraints should be used as a last resort and only under specific circumstances. In this case, they are not necessary and could escalate the situation.
B. Attempting to reason with an agitated client is unlikely to be effective and could further escalate the situation.
C. Seclusion should be used as a last resort and only under specific circumstances. In this case, it is not necessary and could increase the client's agitation and sense of isolation.
D. This is the most appropriate response as it sets a clear boundary, gives the client time to calm down, and allows the nurse to return when the situation is more stable.

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Which of the following is a characteristic of the manic stage of bipolar disorder?

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Naxlex Comprehensive Predictor Exams

Suicide is attempted three times more frequently by ________ but is more often successfully completed by ________

Correct Answer is B

Explanation

A nurse is preparing to change the dressing on the lower leg of an older adult client who is in a wheelchair, and has a history of maladaptive coping skills. The client begins swearing at and verbally abusing the nurse. Which of the following actions should the nurse to take?

Correct Answer is D

Explanation

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